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Scoping a Quality Improvement network in surgery

Establishing a network of people interested in supporting Quality Improvement (QI) within surgery across the United Kingdom

Read comments 5
  • Idea
  • 2020

Meet the team

Also:

  • Ralph Tomlinson, Director of Quality Improvement

What is the positive change that has emerged through new collaborations or partnerships during Covid-19 that your project is going to embed?

COVID-19 resulted in widespread impact across healthcare. for example staffing issues, surgical prioritisation , and temporary suspension of laparoscopic surgery.  We have seen the importance of a network from our CholeQuIC-ER sites. Teams looked to their colleagues in other hospitals to gain an insight of how they were delivering care to patients and what learnings they could share.

What does your project aim to achieve?

We want to establish a long-term sustainable network for those interested in QI within surgery.  Our network will aim to share best practice about QI across surgery, and empower members of the surgical care team to improve the quality and reduce the variability of patient outcomes from surgical care.

With access to over 26,000 surgeons and dentists and new associate members from the surgical care team, we are ideally placed to support the creation of a surgical QI network.

We would provide the initial supporting architecture for a network to start-up and establish, before refocusing our assistance to providing ongoing QI advisory and coordinating support as the network grows and matures.

By running the project we would help develop understanding of the quality of health and care, make health and care services more sustainable, and it improve care for surgical patients with the aim of achieving healthy lives for all.

How will the project be delivered?

The RCS England would continue to support this activity through funding the employment of a dedicated Senior Project Manager in its QI team and investing substantial Director level senior management time.

We will run 4 design workshops with RCS members. To create the charter and other network documents that set the network’s focus and direction.

We would recruit 4 network leaders and run training sessions which would aim to support the spread of QI knowledge, raising the profile of QI and encouraging participation. The leasers would be funded 1/4 PA per month, this enables leadership and creates accountability. Potential benefits include the spread of QI knowledge to other staff from the person who has been trained/is involved, raises their organisational QI profile, possibly supports their staff to help meet their QI requirements for revalidation

One QI evaluation advisor would be funded to help the network set their evaluation plan.

How is your project going to share learning?

Following our initial five Health Foundation funded QI in Surgery focus groups, a specially invited QI in Surgery co-design group met at the RCS to explore what we would like to achieve through a network, and to understand how we would know when it had been a success.

If our bid is successful, we will be accountable for our success in delivering our project aims to the RCS England’s Research and Quality Committee, and through this Committee to the RCS Council.  We will also provide regular update on our progress and a final report that will be shared on Q and published on the the RCS England’s website.

How you can contribute

  • The networker - Make introductions that might be helpful for other Q members or even beyond the community.

Plan timeline

4 Apr 2021 Identify “QI in surgery network leaders”.
6 Jun 2021 Coaching and supporting session for leaders
4 Jul 2021 4 x design workshops with RCS members
3 Oct 2021 National/local workshops for those interested in joining the network
3 Apr 2022 Final event to celebrate successes
1 May 2022 Evaluation report

Comments

  1. Great idea as it will support workforce engagement with QI activity and help workforce QI development

    1. Thanks Elizabeth

  2. Hi Sheena,

    Myself and my colleague Emma Adams (Health Transformation Partnership) are supporting the Health Foundation this year by fostering conversations between Q members and encouraging collaboration. We were Exchange applicants last year, so we’re hoping that our experience will help us to help others, as their ideas take shape.

    I really like your idea - I think such a network would be a significant next step in the adoption of Quality Improvement. It would be great to explore whether other QI networks have spread across specific clinical areas/specialties, to see what can be learned from this. I'll see what I can find out on that front. Are you aware of any? I wonder whether the RCP would have knowledge of such networks. If you're interested in exploring this with them, perhaps you have your own contacts, if not, I know a good person to speak to there. If you'd like me to connect you, do let me know.

    Best of luck with your idea.

    Pete

     

    1. Thanks Pete and Seema those are both really helpful suggestions that i will look into. thanks Sheena

    2. Good suggestion Pete. I wonder if it's worth looking at the STAR network linked to Severn Deanery trainees as a model - https://www.anaesthesiaresearch.org/

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